Title Page
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Document No.
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Date
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Name
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Signature
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Location
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Task
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Job ID No.
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Traffic Control Reference
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Nearest Side Road if DBUD Required
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General scope of the work required
Tool and Resources
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Spotter Required
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Pre-Work Required
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Register Trench
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Dial Before You Dig
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Confined Space Permit
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Other
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Comments
Labour and Services
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Total Task Duration (Hours and/or Days)
Trades - Crew
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No. of People
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Duration
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Description
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Value on PO
Trades - Sub-Contractor
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No. of People
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Duration
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Description
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Value on PO
Trades - Other
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No. of People
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Duration
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Description
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Value on PO
Equipment
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Truck
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Excavator
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Size
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Vibrating Plate
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Rammer
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Float
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Bobcat
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Crane
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Size
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Generator
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Other
Material
- Material
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Material Description/Dimensions
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Quantity
Sketch/Photos
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Add Sketch
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Add Photo
